Individual
DR. GWENDOLYN ELIZABETH BROBBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1915 LAKEFRONT DR, MISSOURI CITY, TX 77459-1651
(281) 969-8860
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G0899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000034JV
BCBS PROV. NUMBER
TX
01
—
0007929017
AETNA PIN
—
01
—
10018140
AMERIGROUP PROV ID NUMBER
VA
05
—
121542805
—
TX
05
—
121542806
—
TX
05
—
121542809
—
TX
05
—
121542810
—
TX
05
—
121542811
—
TX
01
—
1801833744
NPI
—
01
—
236-282-0
ECFMG NUMBER
—
01
—
3056377
AETNA PROV NUMBER
—
01
—
31381
AMERICAN BD OF PEDIATRICS
—
01
—
412069533 0001
CIGNA PRV ID NUMBER
—
01
—
42069533001
TRICARE PROV ID NUMBER
—
01
—
45D1007578
CLIA CERT. OF WAIVER
—
01
—
48268
MASS BD OF REGISTRATION
MA
01
—
G0899
ST. BD OF MED EXAMINERS
TX
01
—
S0045716
STATE DPS NUMBER
TX
Enumeration date
05/31/2006
Last updated
03/07/2023
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